A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?
Pallor.
Bradypnea.
Tachycardia.
Somnolence.
The Correct Answer is C
A reason: Pallor. Pallor refers to an abnormal paleness of the skin, which can be caused by various conditions such as anemia or shock. It is not related to heart rate.
B reason: Bradypnea. Bradypnea refers to an abnormally slow breathing rate. It is unrelated to heart rate and is not the correct term for describing an elevated heart rate.
C reason: Tachycardia. Tachycardia is the medical term for an abnormally fast heart rate, typically defined as a heart rate over 100 beats per minute. A heart rate of 115 falls into this category, making tachycardia the correct term.
D reason: Somnolence. Somnolence refers to a state of drowsiness or sleepiness. It is not related to heart rate and is not the appropriate term for describing an elevated heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A reason:
Visitors may bring a fruit basket is incorrect. Fresh fruit can carry bacteria and should be avoided.
B reason:
Refraining from bringing flowers is correct. Flowers can carry bacteria and fungi, posing a risk to immunocompromised clients.
C reason:
A sick family member visiting, even with a mask, is incorrect. Sick visitors should avoid contact with immunocompromised clients to prevent infection.
D reason:
All visitors must complete hand washing, but wearing an N95 mask is not necessary unless specifically required. Standard masks are typically sufficient.
Correct Answer is D
Explanation
A reason:
Saying that if you don't have an infection, your hands won't infect others is incorrect. Hands can carry and transmit pathogens even if the person is not visibly ill.
B reason:
Wearing gloves does not replace the need for hand washing. Hands should be washed before and after wearing gloves to prevent contamination.
C reason:
Using an alcohol rub when hands are visibly soiled is incorrect. When hands are visibly dirty, soap and water should be used to ensure thorough cleaning.
D reason:
Rubbing all surfaces of the hands with an alcohol rub for 20 to 30 seconds is correct. This ensures that the alcohol rub is effective in killing pathogens and maintaining hand hygiene.
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